Doctor insights on:
Dexamethasone Iontophoresis Patch
I was given iontophoresis of dexamethasone (shoulder) at PT last week. Now my MD has ordered a corticosteroid injection. Is this safe so soon after?
It depends: Adrenal suppression is usually after 5 -10 days of daily steroid use. It depends on the dose.
More info needed: I need more information in regards to the "tussi pres" and the condition (s) that are being treated.
Less than 2 mcg/ dL: The dex suppression test determines whether the adrenal glands are physiology intact. Dexamethasone is a synthetic steroid that suppresses endogenous cortisol to less tha 2mcg/ dl when taken at bedtime.
No studies have been: Done to prove safety and efficacy in children. Maxidex (dexamethasone) is a Class C drug in pregnancy. Animal studies show that it can cause congenital anomalies in fetuses. No studies have been done in pregnant humans. It is contra-indicated in breastfeeding because it is not know if enough corticosteroid is absorbed to to have a significant amount excreted in breast milk that can cause growth problems in infant
Maxidex (dexamethasone): "Contraindicated in epithelial herpes simplex (dendritic keratitis), vaccinia, varicella, and most other viral diseases of the cornea and conjunctiva; tuberculosis of the eye; fungal disease of ocular structures; and in those persons who have shown hypersensitivity to any component of this preparation." See: https://dailymed. Nlm. Nih. Gov/dailymed/drugInfo. Cfm? Setid=a0aa9dc9-265c-4dd6-9b03-276a4721
No: It's much less dangerous than missing cushing's or the brain malfunction that can produce serious mental illness. Please go ahead if your physician has asked for it. I've never heard of anyone having an adverse outcome from this test.
Maxidex (dexamethasone): Dexamethazone.Get a more detailed answer ›
Decadron (dexamethasone): Dexamethazone.Get a more detailed answer ›
IM injection: Yes, but pain is subjective & will likely be greater if there is more volume injected & if the injection causes more swelling, bleed, or pressure on the nerve or muscle sheath.
May be!: Steroids are anti inflammatory and can help but they must be prescribed by a doctor as the side effects have to be borne in mind.